Information Collection Request

Information Program on Clinical Trials: Maintaining a Registry and Results Databank (NLM)

ICR 201508-0925-001 · OMB 0925-0586 · Historical Active

Forms and Documents

Forms and supporting documents for this ICR
DocumentTypeStatusAvailability
Form 1 ClinicalTrials.gov Registration Data Entry Screen Shots Form and Instruction Modified Repair queued
Form 1 Reporting Data Entry Form and Instruction Removed Available
Form 1 Registration Data Entry Form and Instruction Removed Available
Form 1 Registration Data Entry Form and Instruction Removed Available
Form 1 Registration Data Entry Form and Instruction Removed Available
Form 4 Extension Request Form and Instruction Modified Available
Form 3 Certification Form Form and Instruction Modified Available
Form 2 ClinicalTrials.gov Results Reporting Data Entry Screen Shots Form and Instruction Modified Repair queued
Form 2 ClinicalTrials.gov Results Reporting Data Entry Screen Shots Form and Instruction Modified Available
Form 1 Registration Data Entry Form and Instruction Modified Available
Form 1 ClinicalTrials.gov Registration Data Entry Screen Shots Form and Instruction Modified Available
Attachment 5 - Privacy Act Review _Clinical Trials gov Extension 2015.doc Supplementary Document Uploaded 2015-08-28 Available
Attachment 2 - ClinicalTrials.gov Protocol Data Element Definitions.pdf Supplementary Document Uploaded 2015-08-28 Available
Attachment 1 - ClinicalTrials.gov Basic Results Data Element Definitions.pdf Supplementary Document Uploaded 2015-08-28 Available
NLM Clinical Trials ICR Supporting Statement August 2015 (2).docx Supporting Statement A Uploaded 2015-08-28 Available

IC Document Collections

Information collection document groups
IC IDCollectionTypeStatusForm
6153 PRS Account Form and Instruction ModifiedClinicalTrials.gov Registration Data Entry Screen Shots
202116 Basic Results Information (All Categories) Form and Instruction RemovedReporting Data Entry
185105 Device - Voluntary Newly Registered Trials Form and Instruction RemovedRegistration Data Entry
185104 Device - Mandatory Newly Registered Trials Form and Instruction RemovedRegistration Data Entry
185103 Drug and Biologic - Voluntary Newly Registered Trials Form and Instruction RemovedRegistration Data Entry
185102 Extension Request Form and Instruction ModifiedExtension Request
185097 Certification to Delay Results Form and Instruction ModifiedCertification Form
185096 Result Submission Updates Form and Instruction ModifiedClinicalTrials.gov Results Reporting Data Entry Screen Shots
185095 Initial Results Submission Form and Instruction ModifiedClinicalTrials.gov Results Reporting Data Entry Screen Shots
185094 Registration Updates Form and Instruction ModifiedRegistration Data Entry
185093 Initial Registration Form and Instruction ModifiedClinicalTrials.gov Registration Data Entry Screen Shots

ICR Details

Reginfo record details
table that charts list comparision
  Inventory as of this Action Requested Previously Approved
11/30/2018 36 Months From Approved 11/30/2015
224,530 0 168,390
682,535 0 474,873
0 0 0





Reginfo record details
7
table that charts list of burden
IC Title Form No. Form Name
Basic Results Information (All Categories) 1
Certification to Delay Results 3
Device - Mandatory Newly Registered Trials 1
Device - Voluntary Newly Registered Trials 1
Drug and Biologic - Voluntary Newly Registered Trials 1
Extension Request 4
Initial Registration 1
Initial Results Submission 2
PRS Account 1
Registration Updates 1
Result Submission Updates 2

table that charts list of burden
  Total Approved Previously Approved Change Due to New Statute Change Due to Agency Discretion Change Due to Adjustment in Estimate Change Due to Potential Violation of the PRA
Annual Number of Responses 224,530 168,390 0 111,130 -54,990 0
Annual Time Burden (Hours) 682,535 474,873 0 376,735 -169,073 0
Annual Cost Burden (Dollars) 0 0 0 0 0 0


Reginfo record details
  No